Published: 2021-04-23

Spontaneous rupture of vaginal varicose veins mimicking placenta praevia

Rajasri G. Yaliwal, Shreedevi S. Kori, Subhashchandra R. Mudanur, Sindhu Manne


Vaginal varicosities are often an asymptomatic venous disorder that rarely occur in pregnant women. There is little information in medical literature concerning diagnosis and management.1 We present an isolated incident of spontaneous rupture of vulvar varicosities mimicking the presentation of placenta previa. It was successfully managed with a simple surgical approach done under local anesthesia.


antepartum hemorrhage, vaginal varicose veins, varicosity, placenta previa, venous disorders

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Gavrilov SG. Vulvar varicosities: diagnosis, treatment, and prevention. Int J Womens Health. 2017;9:463-75.

Fernando A, Bhide AG, Arulkumaran S, Damania K, Daftary SN. Practical Guide to High-Risk Pregnancy and Delivery. 4th ed. St. Louis, Mosby-Year Book, 1992.

Saveliev VS, Pokrovsky AV, Zatyevakhin II, Kirienko AI. Rossiiskie klinicheskie rekomendatsii po diagnostike i lecheniyu khronicheskikh zabolevanii ven. Flebologia. 2013;7:18-20.

Sueyoshi M, Clevenger S, Hart E. Large Vaginal Varicosities in the Setting of Pregnancy without Known Hepatic or Vascular Risks: A Case Report and Review of the Literature. Case Rep Obstet Gynecol. 2018;2394695.

Furuta N, Kondoh E, Yamada S, Kawasaki K, Ueda A, Mogami H, et al. Vaginal delivery in the presence of huge vulvar varicosities: a case report with MRI evaluation. Eur J Obstet Gynecol Reprod Biol. 2013;167(2):127-31.

Kikuchi N, Ohira S, Asaka R, Takatsu A, Kobara H, Ando H, et al. A case of vaginal varices that caused massive bleeding after vaginal delivery. The Shinshu Med J. 2016;64(1):35-9.

Dascanio JJ. Treatment of Vaginal Varicosities. In Equine Reprod Proced. 2021;86.